Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick Wansom, MD

Individual provider Pain Medicine (Anesthesiology) Physician · NPI 1306124912

Derrick Wansom, MD is a Pain Management in San Marcos, Texas. Graduated from Wayne State University School of Medicine in 2011, 15 years ago. Practices with Lone Star Spine and Pain Institute PLLC, a 3-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
15
Trained at
Wayne State University School of Medicine
Licensed in
TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1320 Wonder World Dr Ste 106
San Marcos, TX 78666-7558
Phone: (512) 851-1165
Fax: (833) 925-2433
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2115 Stephens Pl Ste 1400, New Braunfels, TX 78130-2159 — (830) 715-0538

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence Q9077 (TX)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence Q9077 (TX)

Record details

NPI number1306124912
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2011
Last updated in NPPESNovember 21, 2022
Certification dateNovember 21, 2022
Mailing address1320 Wonder World Dr Ste 106, San Marcos, TX 78666-7558

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Lone Star Spine And Pain Institute Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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